Individual provider Active NPI

Teresa Lee Davis, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1629028303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP08448 Issued in OH
Practice address
3433 Agler Road
Ste 2400
Columbus, OH 43219
Phone
(614) 428-5553
Fax
(614) 428-5515
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP08448 OH Primary

Addresses

Primary practice location

3433 Agler Road
Ste 2400
Columbus, OH 43219

Mailing address

3433 Agler Road
Ste 2400
Columbus, OH 43219
Phone (614) 428-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000677 OH Practitioner - Nurse Practitioner 7517971567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Nutrition Center IncGroup PAC ID 8426081357, 13 clinicians

Practice addresses (Care Compare)

648 Taylor Rd
Gahanna, OH 43230-3202
Phone (614) 864-7225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP08448OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbridge Integrated Health LLC CurrentSince Feb 6, 2025 Accepting new patients
Central Ohio Nutrition Center, Inc Current Accepting new patients
Central Ohio Nutrition Center CurrentSince May 1, 2021 Accepting new patients
Central Ohio Nutrition Center, Inc PastSince May 1, 2021 Accepting new patients
Electrophysiology and Pacing Interventionalists, LLC Past Accepting new patients

Locations

1904 Bethel Rd
Columbus, OH 43220
Phone (614) 451-1910

11 E Central Ave
Ste 103
Delaware, OH 43015
Phone (567) 674-1886

648 Taylor Rd
Gahanna, OH 43230
Phone (614) 864-7225

450 Alkyre Run
Ste 120
Westerville, OH 43082
Phone (614) 847-6008

450 Alkyre Run
Westerville, OH 43082
Phone (614) 382-4313

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629028303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER ROAD",
            "address_2": "STE 2400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-428-5553",
            "fax_number": "614-428-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AGLER ROAD",
            "address_2": "STE 2400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-428-5553",
            "fax_number": "614-428-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TERESA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP08448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.